Hospitals Serving The Sickest And Poorest Patients Worry About New Federal Ratings
A new analysis of preliminary data by Modern Healthcare raises concerns.
Modern Healthcare:
New CMS Star Ratings Ignore Socio-Economic Factors
Hospitals with a high percentage of dual-eligible stays do worse than other hospitals in the readmissions category of the CMS star ratings, hurting their overall star rating, according to a Modern Healthcare analysis of CMS data.
In the latest preview of the CMS star ratings that will be released on Hospital Compare in February, the agency didn't risk-adjust hospitals by peer groups based on their dual-eligible population as it currently does in the Hospital Readmissions Reduction Program. (Castellucci, 12/5)
In other hospital and industry news —
The Washington Post:
House Democrats Want More Aggressive Scrutiny Of Health-Care Mergers
Add “hospital consolidation” to the list of health-care problems on which Democrats want to pressure the Trump administration once they take control of the House in January. High drug prices have recently captured much attention in Washington, and will probably be the subject of multiple oversight hearings in Congress next year. But the rapid pace of mergers and acquisitions in the health-care industry is also looming large as health systems consolidate, pushing prices upward and potentially reducing quality of care. (Cunningham, 12/5)
The Washington Post:
Critics Say New Transplant Rules Will Benefit Big City Medical Centers
The organization that controls the distribution of livers for transplant revised its controversial allocation policy for the second time in a year, further limiting transplant centers’ access to organs collected in their areas. The new plan eliminates geographical boundaries drawn years ago that had largely given transplant centers first shot at livers collected from brain-dead donors in hospitals nearby. It moves the liver transplant system farther toward a “sickest-first” model that would send organs to recipients more than 500 miles away if they demonstrate the greatest need. (Bernstein, 12/5)
Stat:
Memorial Sloan Kettering Business Deals Created A Web Of Conflicts
In forging partnerships with a New Jersey hospital and a data analytics startup, Memorial Sloan Kettering Cancer Center has created a web of interlocking financial interests and conflicts that, ethics experts told STAT, raise doubts about whether the prominent New York City hospital can always put its patients’ interests first while using information in their medical records to make money. In late 2016, Memorial Sloan Kettering signed a deal with Hackensack Meridian Health, one of New Jersey’s largest hospital systems, giving the cancer center access to a larger pool of patients and a bulwark against encroaching competition from other national players in cancer care. (Ross and Swetlitz, 12/6)
